Organization
MIGHTY MASSAGE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID JAMES KUCERA (MASSAGE THERAPIST)
(763) 498-1986
Entity
Organization
Contact information
Practice address
2514 POLK ST NE # 2, MINNEAPOLIS, MN 55418-3730
(763) 498-1986
(612) 378-1051
Mailing address
2514 POLK ST NE # 2, MINNEAPOLIS, MN 55418-3730
(763) 498-1986
(612) 378-1051
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6608778
STATE ID NUMBER
MN
Enumeration date
01/27/2020
Last updated
01/27/2020
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